| October 2007 · Vol. 19, No. 10 COMMENT & CONTROVERSY
Was vacuum extraction an appropriate option?
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Fast Track
“Time limits should serve to remind both patient and practitioner that alternatives to expedite delivery may be warranted”
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“Reducing the medicolegal risk of vacuum extraction,” by Martin L. Gimovsky, MD, and Ji-Soo Han, MD
Drs. Gimovsky and Han describe a case in which a patient who was pregnant with her first child underwent labor augmentation at term to achieve complete dilation. She then progressed over 3 hours from+1 to+2 station. At that point, she was offered the following options: (1) continue to push, (2) vacuum extraction, or (3) cesarean section on the basis of “protracted descent.” She opted for cesarean delivery, and the fetus was successfully delivered from occiput-posterior position.
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